What are the responsibilities and job description for the RCM Operations Specialist position at VaxCare?
ABOUT VAXCARE
VaxCare is a vaccine management platform that improves immunization rates and vaccine program profitability for healthcare providers. We're a team of vaccine experts, engineers, designers, and big-picture thinkers dedicated to solving the problems faced by modern healthcare practices and staff. By offering relief for headaches in our healthcare system, we work towards our vision: every person, fully vaccinated.
VaxCare has a strong history of sustained growth over the past decade. We are a top 10 buyer/biller of vaccine in the USA, but there is still so much opportunity in front of us to keep patients immunized and communities healthy. We are a selective group, looking for "A " teammates to help us continue towards our vision.
THE POSITION
Do you want to be a part of company making real impact on the world of healthcare?
VaxCare’s RCM Team is focused on maximizing partner payments by collecting information, knowledge and money. We research claims, analyze denials, and solve problems while adding value to VaxCare’s bottom line. As a result, we play an important part in the company’s rapid growth!
We are looking for a high energy individual with a focus on providing an excellent customer experience.
WHAT TO EXPECT IN THIS ROLE
- Heavy outbound call flow to our patients
- Listening to their concerns with a collection’s mindset
- Follow authentication protocols
- Collect on past due balances and process payments
- Obtain new information to progress the claim
- Clear and concise documentation after every patient interaction
- Set the correct actions to ensure the claim will move forward
- Quality review of the work performed
QUALITIES OF THE IDEAL CANDIDATE
- Self-motivated – ability to jump in where help is needed
- Detail oriented and focused – pays attention to details and checks their work for quality
- Critical thinker – ability to brainstorm possible solutions with limited direction
- Strong problem-solving skills – finds solving problems exciting and not discouraging
- Good judgement – ability to make quick decisions based on available data
- Relational – ability to effectively work with other teams in a professional manner
- Natural curiosity – desire to understand the entire landscape of healthcare payers and claims
- Accountable – ability to own actions, listen to feedback and apply to make changes
- Overcome objections – the ability to listen to another and rise above the roadblock by asking great open-ended questions
- Reliability/Punctuality – the ability to honor the time commitment made and be present to help the team grow
- Communication Skills – the ability openly extend dialog by to professionally communicate in a clear and concise manner with others
EXPERIENCE REQUIRED
- Collections or Third-Party Collections or Claims experience preferred
- Bilingual (English/Spanish)
- Call center experience
- Prior experience working with payers and health insurance claims preferred.
Note: Team Members in this position will be responsible for implementing and acting in accordance with VaxCare’s information security policies; protecting assets from unauthorized access, disclosure, modification, destruction or interference; executing specific security processes or activities as assigned by the Information Security and/ or Privacy officers; and reporting security events or potential security risks to the organization. Team Members in this role will be involved in the processing of protected patient and/or payment information and will be responsible for ensuring the security and privacy of the information within their scope of work.
